How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $13.49 Median $22.91 Typical High $46.77 | Facility | None | $13.49 | $22.91 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $23.99 | Professional | None | $12.02 | $12.88 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $162.18 | Facility | None | $19.95 | $33.11 | $162.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $12.02 Typical High $12.02 | Professional | None | $3.47 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $36.31 Typical High $66.07 | Facility | None | $17.78 | $36.31 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $17.78 Typical High $27.54 | Professional | None | $8.13 | $17.78 | $27.54 |
Hally Health Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $117.49 | Professional | None | $16.22 | $27.54 | $117.49 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $19.50 | Professional | None | $8.51 | $10.96 | $19.50 |
United Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $19.50 | Facility | None | $15.49 | $18.62 | $19.50 |
United Setting Professional Modifier None Typical Low $6.61 Median $12.02 Typical High $21.88 | Professional | None | $6.61 | $12.02 | $21.88 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $11.22 Typical High $23.44 | Facility | 52 · Reduced service | $6.46 | $11.22 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $4.47 Typical High $9.33 | Facility | 53 · Discontinued | $2.57 | $4.47 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $7.76 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.09 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.09 |
Where Illinois sits
The same service costs 4.2 times more in Kansas than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 50th of 51
$12.02
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.